Jerry M Gilley, MD | |
907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | |
(865) 983-7211 | |
(865) 450-9374 |
Full Name | Jerry M Gilley |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 907 E Lamar Alexander Pkwy, Maryville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346231636 | NPI | - | NPPES |
3067974 | Medicaid | TN | |
3028795 | Other | TN | BLUE CROSS BLUE SHIELD TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 23466 (Tennessee) | Primary |
Entity Name | Maryville Anesthesiologists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336199645 PECOS PAC ID: 0345257606 Enrollment ID: O20060310000282 |
Mailing Address | Practice Location Address |
---|---|
Jerry M Gilley, MD Po Box 24776, Chattanooga, TN 37422-4776 Ph: (877) 288-1799 | Jerry M Gilley, MD 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 Ph: (865) 983-7211 |
Cathy E Petty, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 Fax: 865-450-9374 | |
Immaculate Thomason, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5760 Fax: 865-977-4788 | |
Cheryl E Coleman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 Fax: 865-450-9374 | |
Anthony Ragsdale, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 Fax: 865-450-9374 | |
Denise Liyana Charlton, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5760 Fax: 865-977-4788 | |
Jon L Cheek, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-7211 |